经跗骨窦微创入路治疗Sanders Ⅱ、Ⅲ型跟骨骨折的临床效果

Treatment Effect of Minimally Invasive Approach through Tarsal Sinus in the Treatment of Sanders Ⅱ and Ⅲ Calcaneal Fractures

目的:探究经跗骨窦微创入路治疗Sanders Ⅱ、Ⅲ型跟骨骨折的临床效果。方法:选取笔者所在医院接收的Sanders Ⅱ、Ⅲ型跟骨骨折患者58例为研究对象,以整群随机化方式将其分为两组,每组29例。对比组采取传统外侧L形切口入路钢板内固定治疗,研究组采取经跗骨窦微创入路治疗。比较两组临床指标、治疗效果及并发症发生情况。结果:两组术后Gissane角、Boher角比较,差异无统计学意义(P>0.05);对比组手术时间长于研究组,差异有统计学意义(P<0.05)。对比组优良率为79.31%,低于研究组的89.66%,但两组比较差异无统计学意义(P>0.05)。对比组并发症发生率为20.69%,高于研究组的0,差异有统计学意义(P<0.05)。结论:对Sanders Ⅱ、Ⅲ型跟骨骨折患者行经跗骨窦微创入路治疗和传统外侧L形切口入路钢板内固定治疗,都能取得较好的治疗效果,但经跗骨窦微创入路治疗能有效缩短手术时间,降低并发症发生率,具有一定的应用价值。

Objective:To explore the clinical effect of minimally invasive approach through tarsal sinus in the treatment of Sanders Ⅱ and Ⅲ calcaneal fractures.Method:A total of 58 cases of Sanders Ⅱ and Ⅲ calcaneal fractures accepted by our hospital were selected as the study objects.They were randomly divided into two groups,with 29 cases in each group.The control group was treated with traditional lateral L incision approach plate internal fixation.The study group was treated by minimally invasive approach through tarsal sinus.The clinical indexes,therapeutic effects and complications of the two groups were compared.Result:There were no significant differences in the postoperative Gissane and Boher angles between the two groups (P>0.05).The operation time of the control group was longer than that of the study group,the difference was statistically significant (P<0.05).The excellent and good rate of the control group was 79.31%,which was lower than 89.66% of the study group,but there was no significant difference between the two groups (P>0.05).The incidence of complications in the control group was 20.69%,which was higher than 0 in the study group,the difference was statistically significant (P<0.05).Conclusion:The treatment of Sanders Ⅱ and Ⅲ calcaneus fractures by minimally invasive approach through tarsal sinus and traditional lateral L incision approach plate internal fixation can achieve good treatment effect,but the minimally invasive approach through tarsal sinus can effectively shorten the operation time and reduce the incidence of complications,which has certain application value.